Southwest Network, NPI 1912164039
Community/Behavioral Health Agency in Phoenix, AZ, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1912164039 |
| NPI Entity Type | Organization |
| Provider Name | Southwest Network |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 1840 N 95th Ave Ste 132, Phoenix, AZ, US |
| Provider Mailing Address | 2700 N Central Ave, Suite 1050, Phoenix, AZ, US, 850041133 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MS. Amy B. Henning |
| Official Position | CEO |
| Phone | 602-285-4340 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Community/Behavioral Health Agency |
| Classification | |
| Group | |
| License No. | OTC6612 |
| License State | AZ |
| Description | A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| OTC6612 | AZ | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| Z127516 | AZ | MEDICARE PTAN | 01 |
| 361554 | AZ | MEDICAID | 05 |
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|---|---|---|---|
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DR. M.D. Vincent Paul Goux Individual |
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Atlas Medical Systems, Pllc Organization |
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Tiana Elizabeth Roth Individual |
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Ngalle Homes Care Organization |
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MR. MA, LISAC Woodrow Eugene Miller III Individual |
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Christina Fitzpatrick Individual |
1 S Church Ave Ste 1200 |
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PA-C Abigail Jane Higgins Individual |
16611 S 40th St Ste 120 |
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RN Abbigael Naomi Simpson Individual |
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Rehema Outpatient Treatment Center Llc Organization |
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MRS. LCSW Colette Reon Hardesty-tesar X Individual |
3565 E Marshall Gulch Pl |
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MD Xiao Kristin Liang Individual |
7301 E 2nd St Ste 210 |
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RD Haley Dawn Smith Individual |
1200 N Beaver St |
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MD Nicole Marie Casey Individual |
3003 N 3rd St |
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Julie Ann Roberts Individual |
335 N Alma School Rd |
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MOT OTR/L, BCP, CIMI Victoria Wicus Individual |
4525 E Le Marche Ave |
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LCSW Taylor Redding Individual |
3656 W Scavenger Dr |
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Sierra Vista Regional Health Center Medical Group Llc Organization |
5750 E Highway 90 Suite 200 |
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PT Catherine Broadbent Individual |
23374 W Yuma Rd Ste 104 |
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